Medical Student Grading


Grade Determination. The final course grade for a student is determined by the Course Director. A number of methods of evaluation may be used to make this assessment, including but not limited to, written examinations, oral examinations, direct observation of students, written reports, oral presentations, and evaluations of professional conduct. Students should see the course syllabus for detailed information about grading for an individual course.


Academic Transcript. The School of Medicine academic transcript is an unabridged summary of the student’s academic history. As such, all final course grades are recorded and posted to the student transcript.

Grade Definitions. The following grades and notations may appear on official transcripts:






Raw score 70 or higher (Note: Raw scores range from 0 - 100)


Honors in core clerkships

Began with Class of 2012



Raw score less than 70



A temporary notation assigned at the discretion of instructor, and only if the following three conditions are met: (1) The student, for nonacademic reasons beyond his or her control, is unable to complete course requirements; (2) The student is, according to the instructor’s assessment, currently passing or has the potential for passing the course; and (3) The student has made arrangements with the instructor, prior to the grade submission deadline, for completing course requirements.  It is the responsibility of the student to arrange with the instructor whatever action is needed to remove the Incomplete at the earliest possible date. A student cannot graduate with an Incomplete on his or her academic record. 


Remediation required on NBME subject examination

Unsuccessful first attempt on NBME subject examination. Will be replaced with N/P or N/F depending on outcome of second attempt of the same examination. N/P is considered a passing grade for the course; N/F is considered a failing grade for the course and no credit is given for any portion of the course.


No credit

A temporary notation used when unsuccessful attempt(s) on USMLE Step 1 preclude posting of a grade in a clerkship or clinical course. Will be replaced with a grade upon receipt of a passing score on USMLE Step 1. A student cannot graduate with an NC on his or her academic record.



Given only if the following two conditions are met: (1) A student opts to remain in coursework pending the decision of the Student Academic Standing Committee (SASC) and any subsequent appeal, and (2) The ultimate outcome of the SASC decision and/or appeal requires the student to end active enrollment prior to such a course’s end date.  No credit is given for any portion of the course.


Withdrawn passing

Given at the discretion of the Course Director to students withdrawing from coursework prior to course completion. No credit is given for any portion of the course.


Withdrawn failing

Given at the discretion of the Course Director to students withdrawing from coursework prior to course completion. Equivalent to a grade of F. No credit is given for any portion of the course.


Remediated successfully

Older transcript only



Satisfactorily completed equivalent medical school course previously



Granted for comparable academic experience or coursework

Pre-clerkship Grading. In some pre-clinical courses, grading consists of scores on two components, the Knowledge component (typically assessed through examinations and quizzes) and the Small Group component (typically assessed on skill-based activities, participation, professionalism, small group work, laboratory experiences, and projects).  In pre-clinical courses where grading consists of a Knowledge component and a Small Group component, students must pass both components in order to receive a passing grade for the course. A student who fails the Knowledge component (raw score below 70) will receive a grade of F for the course; a student who fails the Small Group Component will receive a grade of F for the course.

In pre-clinical courses without separate Knowledge and Small Group components, students must pass the course according to the grading system employed in the course (see course syllabus for details).

See also Grades Other than Passing in First and Second Year Courses (Preclinical Curriculum)

Clerkship Grading. Clerkship grades (Pass, Honors, or Fail) and numerical raw scores (0 – 100) will be based on two components: (1) Clinical performance and (2) NBME Subject Examination performance. Students must pass both components to receive a grade of P; students must achieve Honors in both components to receive a grade of H.

Note that clerkships may have additional clinical requirements that must be met to pass the clerkship, e.g., seeing specified numbers of patients, completing on-line modules.

See the criteria for Clinical Honors and NBME Honors and an explanation of clerkship raw score calculation for the Class of 2015 and Class of 2016.

Raw Scores, T-Scores, and Class Rank. Information about the calculation of course raw scores, the use of T-scores, and the determination of class rank may be found here: .

History. A pass-fail grading system was instituted effective July 1, 2006, for the 2006-07 academic year for all courses offered by the School of Medicine at all campuses. Raw scores ranging from 0 to 100 continued to be assigned for internal use and individual student feedback only. All academic grades earned prior to this date remained as earned.